Open AccessMiliary nodules: An unusual presentation of allergic bronchopulmonary aspergillosis
Author(s) -
Pooja Aneja,
Urvinder Pal Singh,
Balwinder Kaur,
Kalpesh Patel
Publication year - 2014
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.135784
Subject(s) - medicine , allergic bronchopulmonary aspergillosis , bronchiectasis , pathognomonic , presentation (obstetrics) , aspergillosis , aspergilloma , dermatology , hypersensitivity pneumonitis , radiological weapon , pathology , radiology , disease , lung , immunology , immunoglobulin e , antibody
Allergic bronchopulmonary aspergillosis (ABPA) is an immune-mediated inflammatory disease caused by hypersensitivity to Aspergillus fumigatus. A wide spectrum of plain radiographic appearances has been described in ABPA, though none are pathognomonic of ABPA. The common radiological abnormalities encountered are fleeting pulmonary opacities, bronchiectasis, and mucoid impaction. Uncommon radiological findings encountered in ABPA include pulmonary masses, perihilar opacities simulating hilar adenopathy, and pleural effusions. However, miliary nodules as a radiological presentation of ABPA are very rare and only one case has been reported in literature. It is often misdiagnosed and mismanaged as tuberculosis; thus, the clinician should be vigilant enough to diagnose this very rare entity.